| Provider / Organization | NPI | Date Certified |
|---|---|---|
| COLLEEN CASELLA | 1184228025 | 2020-11-22 |
Colleen Casella is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1184228025. Registration indicates Colleen Casella is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Colleen Casella |
| Practice Office Address | 1227 MONTAUK HWY UNIT 2 OAKDALE, NY US |
| Practice Office Telephone | 6312181545 |
| Mailing Address | 74 CHARLA DR SOUTHAMPTON, NY 119683602 US |
| Business Telephone | 6317023562 |
| Code | Practice | License No State |
|---|---|---|
| 101Y00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor Behavioral Health/Substance Abuse/Psychiatry Counselor Behavioral Health & Social Service Providers |
| 2962110 | OTHER | NY | SEIT |